| NPI | 1679886741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 35600) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT194880) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2016-09-02 |