| NPI | 1730158999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: KY 29075) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 29075) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2014-10-09 |