| NPI | 1063471092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: CT 037882) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 037882) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 037882) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-07-08 |