| NPI | 1881696037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: NC 9600730) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 9600730) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-04-29 |