| NPI | 1336431956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: SC 38118) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 172873) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2024-09-23 |