| NPI | 1508925611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: GA 97768) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: VA 0101037336) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: AK 3596) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-11-22 |