| NPI | 1801896295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX E0847) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX E0847) |
| 207V00000X Obstetrics & Gynecology (Licence: TX E0847) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2024-01-19 |