| NPI | 1093129447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO DR.0067598) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2018004008) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0067598) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-02-13 |