| NPI | 1811166382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 29006) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 29006) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2024-07-15 |