| NPI | 1023022167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 95917) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 95917) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD426592) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD426592) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2026-03-05 |