| NPI | 1669441069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301059558) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: MI 4301059558) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2022-07-21 |