| NPI | 1487710463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A 121943) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MT180622) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 4301095334) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-06-08 |