| NPI | 1598720526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 17652) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 202726799) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-02-04 |