| NPI | 1215670054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CO DR.0077533) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0077533) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2026-07-13 |