| NPI | 1235244484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: WI 26951-020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 26951) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-03-07 |