| NPI | 1659325827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 39283) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 39283) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-07-08 |