| NPI | 1871872580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2015006483) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301098079) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2024-04-18 |