| NPI | 1649683855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D86555) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AR E-16578) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 83084) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-08-22 |