| NPI | 1811420904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A208882) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NY 317503) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A208882) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2026-08-28 |