| NPI | 1609818657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA MD-45006) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: IL 61-4418) |
| 207V00000X Obstetrics & Gynecology (Licence: TX U0257) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ID MC-0085) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036-059865) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX U0257) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2024-12-12 |