| NPI | 1285163451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 84385-20) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: RI MD17459) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 84385-20) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2025-04-29 |