| NPI | 1336404466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 4301101541) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301101541) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD466017) | |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2021-07-21 |