| NPI | 1750588596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 68203) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 45935) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 75071) | |
| 174400000X Specialist | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-08-13 |