| NPI | 1881014710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 1445) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 1445) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-03-07 |