| NPI | 1467681965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 44453) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 32042) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101253659) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2024-03-29 |