| NPI | 1336170893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD12081) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: RI md12081) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2024-08-01 |