| NPI | 1518950542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX h7649) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H7649) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2025-04-14 |