| NPI | 1144347568 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 24086) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0431506) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-06-29 |