| NPI | 1366434722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MI 4301046252) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI 4301046252) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2022-07-21 |