| NPI | 1912325820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: KY 52819) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 52819) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2020-03-12 |