| NPI | 1407977853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-00438) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL864) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-09-03 |