| NPI | 1336189414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 042055) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WY TL#1399) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35C.001300) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX P8480) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-05-20 |