| NPI | 1568635589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35.091410) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 57043) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 57043) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2023-11-03 |