| NPI | 1376658856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: SC 22689) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 22689) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: SC 22689) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-11-13 |