| NPI | 1366481434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.022218) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 114937) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2023-02-17 |