| NPI | 1215432919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS18373) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 110629) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2026-03-22 |