| NPI | 1841520731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD 60321435) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD438916) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2021-06-18 |