| NPI | 1396034328 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 41659) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID 3361973) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2024-11-04 |