| NPI | 1487742151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 59744) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M-10751) |
| 207V00000X Obstetrics & Gynecology (Licence: ND 9300) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ND 9300) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: ND 9300) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-11-12 |