| NPI | 1811966948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MA 208912) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MA 208912) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 208912) | |
| 207R00000X Internal Medicine (Licence: MA 208912) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD070229L) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 208912) | |
| 174400000X Specialist (Licence: PA MD070229L) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-04-24 |