| NPI | 1306830591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA 19923) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 19923) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA 19923) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-12-19 |