| NPI | 1689657355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NH 16513) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101036041) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NH LT-3362) | |
| Enumeration Date | 2005-11-27 |
| Last Update Date | 2014-03-25 |