| NPI | 1134137912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 11316) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 39490) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 000039490) | |
| 207V00000X Obstetrics & Gynecology (Licence: SC 11316) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2015-09-01 |