| NPI | 1861661548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 5101021485) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT012687) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 5101021485) | |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2023-11-27 |