| NPI | 1275574519 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: DC MD045745) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: VA 0101273619) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D60032) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-11-19 |