| NPI | 1346478161 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 82138) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD 17116) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2024-04-10 |