| NPI | 1184661373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MS 11758) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AL 18032) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO 36719) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA 12709R) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 39259) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-09-25 |