| NPI | 1033453600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 70827-20) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 70827) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 70827-20) | |
| 208600000X Surgery (Licence: WI 70827) | |
| 2086S0127X Surgery, Trauma Surgery (Licence: WI 70827) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2022-02-10 |