| NPI | 1679520373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 40599) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CO DR.0040599) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2021-04-23 |