| NPI | 1265430292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME36705) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 059536) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-03-07 |