| NPI | 1881651750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME53633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 24671) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN 24671) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-01-19 |