| NPI | 1720161961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WV 17729) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2001-00314) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-04-12 |