| NPI | 1881774313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101265714) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 18753) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD61237094) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ID MC-2111) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 18753) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-08-01 |