| NPI | 1437436854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NC 2019-01840) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 260-782) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301099694) | |
| 207V00000X Obstetrics & Gynecology (Licence: SC 34542) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: GA 72645) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2022-10-24 |