| NPI | 1275505364 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 02485) |
| Additional Taxonomies | 208D00000X General Practice (Licence: KY 02485) |
| 207P00000X Emergency Medicine (Licence: KY 02485) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KY 02485) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-11-24 |