| NPI | 1497193924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PR 19329) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM MD2017-0907) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME145616) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2021-10-05 |