| NPI | 1790893550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 17601) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA MD-30379) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2017-10-26 |