| NPI | 1346248978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 61706) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 0424031) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036106324) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2025-11-17 |