| NPI | 1992783443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.07044R) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 07044R) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2024-06-18 |