| NPI | 1346746187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 102360) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 38668) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NH 38668) | |
| 207V00000X Obstetrics & Gynecology (Licence: MA 102360) | |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2026-03-23 |