| NPI | 1699747600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: OK 11343) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 11343) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-10-20 |