| NPI | 1518310994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 39844) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 304132) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2025-03-25 |