| NPI | 1649533894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MD D80760) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 2012015941) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 2012015941) | |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2016-07-12 |