| NPI | 1053978742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 89746) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151013509) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-07-05 |