| NPI | 1831162767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 055706) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 55706) |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2020-11-05 |