| NPI | 1205031077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2014-00432) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2014-00432) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2014-00432) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2014-00432) | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2017-09-06 |