| NPI | 1295122232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: ID M-16578) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD192932) |
| 207V00000X Obstetrics & Gynecology (Licence: ID M-16578) | |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2024-01-15 |