| NPI | 1912913880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NC 2011-1303) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101229824) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35083035S) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VA 0101229824) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-07-20 |