| NPI | 1033573514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 95990) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 83916) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 83916) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 95990) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2024-11-11 |