| NPI | 1114244514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: ID M-17863) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NM MD2014-0229) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2024-08-01 |