| NPI | 1922200054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 13909) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-49082) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-10-16 |