| NPI | 1538422423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 32520) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KS 04-50370) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2026-02-05 |