| NPI | 1891216974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MI 4301511250) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301113012) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2024-07-01 |