| NPI | 1275525453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NV 11633) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 76740) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO 39537) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2026-05-05 |