| NPI | 1992281570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301507656) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301115874) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2022-06-15 |