| NPI | 1538669197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 5151011926) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101023750) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-02-12 |