NPI | 1558473298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2023032672) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY NY227078) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MA 1020948) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2024-10-01 |