| NPI | 1851360317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: AZ 18689) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: AZ 18689) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2021-04-27 |