| NPI | 1720059637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 053022) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 24948) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2024-12-19 |