| NPI | 1447547724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 009461) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 04504) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-01-24 |