| NPI | 1366496465 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 11502) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 11502) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 030967) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 030967) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: SC 11502) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 030967) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2021-08-20 |