| NPI | 1285603431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 43887) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME180291) |
| 207V00000X Obstetrics & Gynecology (Licence: WA MD61604924) | |
| 208M00000X Hospitalist (Licence: WA MD61604924) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2026-05-29 |