| NPI | 1063403574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 71567) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 71567) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-11-16 |