| NPI | 1427341726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 9291383-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R72655) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2025-11-17 |