| NPI | 1184675860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 14140) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 14140) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-01-09 |