| NPI | 1285654053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 13044) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 13044) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-04-11 |