| NPI | 1043669781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA MD-47410) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 008257) |
| 207V00000X Obstetrics & Gynecology (Licence: IA MD-47410) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IA MD-47410) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2023-09-29 |