| NPI | 1861437907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NE 21775) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 21775) |
| 207V00000X Obstetrics & Gynecology (Licence: NE 21775) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-12-17 |