| NPI | 1114155561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: DC MD041187) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD041187) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D75344) | |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: MD D75344) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-11-01 |