| NPI | 1588681571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: ND 15182) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MN 45659) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: FL ME105780) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2022-07-06 |