| NPI | 1235134453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NE 19027) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 110344) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO 46858) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KS 18720) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2018-10-16 |