| NPI | 1477658136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 033967) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: GA 033967) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2016-02-01 |