| NPI | 1598848046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9500992) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 9500992) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-02-07 |