| NPI | 1730162884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME120422) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35098779) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 026259) | |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-10-19 |