| NPI | 1508845231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.12627R) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 44616) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 44616-20) | |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2022-06-28 |