| NPI | 1326072901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 347178) |
| Additional Taxonomies | 174400000X Specialist (Licence: AR E-4589) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 49458) | |
| 207V00000X Obstetrics & Gynecology (Licence: KS 04-49478) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-09-11 |