| NPI | 1952410219 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 27537) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MS 18368) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD430772) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036153809) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-05-08 |