| NPI | 1356787626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 54529) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ R74011) |
| 207V00000X Obstetrics & Gynecology (Licence: AZ R74011) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2024-11-25 |