| NPI | 1427300938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: UT 10714148-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A123000) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WY 12554A) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NM MD2014-1005) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2021-10-28 |