| NPI | 1710096755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KS 04-20677) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2008011473) |
| 207V00000X Obstetrics & Gynecology (Licence: KS 04-20677) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-11-19 |