| NPI | 1861589806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TX M7306) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 220257) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35092170) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2015-10-15 |