| NPI | 1841585809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2019024475) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2019024475) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2024-04-25 |