| 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) | 
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IN 01096933A) | |
| Enumeration Date | 2010-07-19 | 
| Last Update Date | 2025-08-04 |