| NPI | 1447818687 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2023018869) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC LL82658) |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2023-11-28 |