| NPI | 1437239282 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MT MED-PHYS-LIC-4586) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MT 4586) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2024-04-03 |