| NPI | 1417007451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI 15432) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME97691) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2021-05-26 |