| NPI | 1407087711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 284409) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX w2968) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IN 02006092B) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2026-01-05 |