| NPI | 1689631244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 200100211) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 200100211) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-12-18 |