| NPI | 1871760900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 46022) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 46022) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CT 46022) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2016-02-08 |