| NPI | 1215294053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: SC 83098) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 33125) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2021-05-10 |