| NPI | 1891782272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA DO-03506) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 3506) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2024-01-09 |