| NPI | 1295228724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 66888) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 33806) |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2023-04-28 |