| NPI | 1427001494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD60003294) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 24028) |
| 208M00000X Hospitalist (Licence: WA MD60003294) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-02-13 |