| NPI | 1841480928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV DO2417) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102202168) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2018-07-26 |