| NPI | 1134284466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2020-00929) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-00929) |
| 207V00000X Obstetrics & Gynecology (Licence: CT 043317) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 043317) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-08-18 |