| NPI | 1831540772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0070771) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301110209) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-10-11 |