| NPI | 1477513174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TX G7545) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MI 4301054189) |
| 2085U0001X Radiology Diagnostic Ultrasound (Licence: MI 4301054189) | |
| Enumeration Date | 2006-03-25 |
| Last Update Date | 2024-06-24 |