| NPI | 1437538303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2021-02694) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SD 11647) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2023-02-22 |