| NPI | 1578895447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-02143) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NC 2015-02143) |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: NC 2015-02143) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2015-02143) | |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2021-01-15 |