| NPI | 1538367040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NE 25539) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 5675) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2014-08-29 |