| NPI | 1285891952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101251753) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 246839) |
| 207V00000X Obstetrics & Gynecology (Licence: DC 138719) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2021-06-16 |