| NPI | 1285698530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME68617) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL me68617) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2020-12-31 |