| NPI | 1053323980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VA 0102202955) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD H72740) |
| 207V00000X Obstetrics & Gynecology (Licence: DE C2-0008251) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 262290) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 200500735) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2022-12-08 |