| NPI | 1245224864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WI 23370) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 23370) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2012-02-06 |