| NPI | 1669904314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 100030) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 100030) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME163109) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2025-11-04 |