| NPI | 1275535189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NV 653) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 653) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2018-05-14 |