| NPI | 1205862737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101273422) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2010-1563) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2010-1563) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2010-01563) | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-11-28 |