| NPI | 1295868883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX 3376) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: NV 12591) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NV 12591) | |
| 207V00000X Obstetrics & Gynecology (Licence: TX 3376) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2015-08-24 |