| NPI | 1629074901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 255575) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 4301102380) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301102380) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NV 12119) | |
| 207V00000X Obstetrics & Gynecology (Licence: NV 12119) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 255575) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2025-10-13 |