| NPI | 1730640756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0026163) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D97561) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2023-10-26 |