| NPI | 1427007624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 43795-020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M-7022) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2026-02-16 |