| NPI | 1801883418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 3068) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL AA3068) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2017-03-01 |