| NPI | 1437243896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD 26203) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00045699) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-02-04 |