| NPI | 1346454634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 62954) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 23017) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WV 23017) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-12-08 |