| NPI | 1205890399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 27130) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: SC 27130) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 27130) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2021-07-07 |