| NPI | 1740402007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 58569) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2012-01926) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2009-00624) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036167692) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2023030719) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2026-04-20 |