| NPI | 1467610774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101262024) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0116016579) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101262024) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 47540) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2022-12-07 |