| NPI | 1346458155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 30355) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101242043) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-02-04 |