| NPI | 1497136469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101267328) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116028420) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2024-02-26 |