| NPI | 1710976899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WI 69177-20) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TN 62746) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: PA MD420212) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2022-01-04 |