| NPI | 1578761037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301083849) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301083849) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301083849) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-09-10 |