| NPI | 1659403038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MT 30616) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 336166-1205) |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: UT 336166-1205) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA MD.13790R) | |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2023-10-23 |