| NPI | 1427023530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 87037) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME76754) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2022-04-27 |