| NPI | 1114984705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KS 04-32563) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 38422) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 115621) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-10-13 |