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 |