| NPI | 1326082157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 42670) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301082859) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX R8823) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MS 23156) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-08-24 |