| NPI | 1568812659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MT MED-PHYS-LIC-123656) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT MED-PHYS-LIC-123656) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-08-19 |