| NPI | 1649371972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: OH 35.138963) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NH 17135) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WA 60316121) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MD D0073846) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WI 213-320) | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: ME MD21154) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-03-25 |