| NPI | 1689664393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: GA 041365) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 041365) |
| 2085B0100X Radiology Body Imaging (Licence: GA 041365) | |
| 207VC0200X Obstetrics & Gynecology Critical Care Medicine (Licence: GA 041365) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-03-07 |