| NPI | 1689739054 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 25177) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 25177) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 14756) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2021-01-07 |