| NPI | 1356408066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL OS8453) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 0S8453) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-01-28 |