| NPI | 1437147758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 85994) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101053106) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-09-09 |