| NPI | 1245893817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301512586) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4351046403) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-09-09 |