| NPI | 1811989098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.11739R) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 30025) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA MD.11739R) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN MD-30026) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2025-05-01 |