| NPI | 1164476818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101230347) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME179014) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 1020658) | |
| 207V00000X Obstetrics & Gynecology (Licence: IN 01051386A) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 334442) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2026-03-19 |