| NPI | 1285085514 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NE 1775) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 81539) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-07-15 |