| NPI | 1558380642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME80279) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL MD.38787) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-07-14 |