| NPI | 1770670473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KS 0546950) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 02426) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2023-04-03 |