| NPI | 1033130299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD27349) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048188) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 3766401205) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00048188) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD27349) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2021-09-11 |