| NPI | 1871525337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD60748459) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD18230) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ID M-13818) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-05-18 |