| NPI | 1437111747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP00000888) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS012797) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA OS012797) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2020-12-07 |