| NPI | 1336287796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 44588) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CO DR.0044588) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-04-23 |