| NPI | 1225249386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL OS12709) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0102203249) |
| 207V00000X Obstetrics & Gynecology (Licence: FL OS12709) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 58-001675) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2026-03-09 |