| NPI | 1700107869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OK 27776) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AR E11038) |
| 207V00000X Obstetrics & Gynecology (Licence: OK 27776) | |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2020-01-07 |