| NPI | 1841501848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61053988) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE NB26403) |
| 207V00000X Obstetrics & Gynecology (Licence: WA 61053988) | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2021-07-14 |