| NPI | 1649299520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL OS12635) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200001021) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 8149327-1204) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-08-29 |