| NPI | 1366557860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 10563) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 10563) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-05-03 |