| NPI | 1700053691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101273445) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101273445) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NE 27106) | |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2022-04-12 |