| NPI | 1588654263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MI 4301407131) |
| Additional Taxonomies | 174400000X Specialist (Licence: MI RJ407131) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-09-01 |