| NPI | 1326544685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 71732-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD18455) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-09-22 |