| NPI | 1295925477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 212882) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 26406) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2025-02-25 |