| NPI | 1154346096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9900594) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 9900594) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-07-15 |