| NPI | 1154599330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-50330) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 247536) |
| 174400000X Specialist (Licence: WA FE60428130) | |
| 174400000X Specialist (Licence: IN 01075866A) | |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301073856) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01075866A) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 247536) | |
| 174400000X Specialist (Licence: IA MD-50330) | |
| 207V00000X Obstetrics & Gynecology (Licence: TN 60808) | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2026-02-25 |