| NPI | 1265938955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL 44232) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 679988) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2023-06-29 |