| NPI | 1164684890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 04-35713) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 7041) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2014-10-07 |