| NPI | 1639437205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AL 34845) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 565341) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2024-02-02 |