| NPI | 1861616013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 52518) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NE 5132) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 52518) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NE 5132) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 52518) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-11-21 |