| NPI | 1700938115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME111690) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY ny 218409) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME111690) | |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2023-11-03 |