| NPI | 1588677751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM 75-153) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AK 4703) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA 88159) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2021-03-04 |