| NPI | 1669866877 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0071498) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 29518) |
| 208D00000X General Practice (Licence: NE 29518) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2024-06-04 |