| NPI | 1700081247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MS 18823) |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MS 18823) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA MD.201976) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-02-22 |