| NPI | 1184890451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2012-00942) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2012-00942) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2024-04-24 |