| NPI | 1972618221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 38312) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR0038312) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-11-12 |