| NPI | 1598792467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 5752) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ID M8615) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2009-03-06 |