| NPI | 1598834111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MA 75972) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 75972) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NH 19948) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-10-16 |