| NPI | 1285600726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 23221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 7018) |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2019-04-19 |