| NPI | 1841383197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS10169) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 9185491-1204) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2016-11-16 |