| NPI | 1396150850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AL 50769) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX R7739) |
| 207V00000X Obstetrics & Gynecology (Licence: HI MD-22259) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-07-02 |