| NPI | 1326499849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5101025812) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101022715) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2026-04-27 |