| NPI | 1720029366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MD H86986) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A24341) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2026-01-08 |