| NPI | 1710943857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 05-22322) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: KS 05-22322) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-07-21 |