| NPI | 1578083291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0066164) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5315087160) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2024-05-31 |