| NPI | 1598026171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL MFC1848) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 1001) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX 43729) | |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2022-01-14 |