| NPI | 1427218593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 4737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2020001907) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2022-10-05 |