| NPI | 1215918396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: RI MD13165) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 209789) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MA 209789) | |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: RI MD13165) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2024-07-18 |