| NPI | 1851437636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR 47003) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2004001636) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-07-13 |