| NPI | 1467476788 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301036938) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MI 4301036938) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5315171197) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2021-01-08 |