| NPI | 1205802485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KS 05-48934) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI DOS - 1103) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2024-06-17 |