| NPI | 1578083291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0066164) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR.0066164) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5315087160) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2026-07-15 |