| NPI | 1811827835 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 5151018200) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151018200) |
| Enumeration Date | 2026-05-21 |
| Last Update Date | 2026-05-21 |