| NPI | 1669588059 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: SC 6566) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: SC 06566) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: SC 6566) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-05-03 |