| NPI | 1780689638 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AR E-20041) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35081315) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-20041) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 83455) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2025-11-17 |