| NPI | 1568780062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2015-00203) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: DC MD047207) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 60786) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 60786) | |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2021-06-11 |