| NPI | 1912976564 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 14642) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AZ 14642) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MN 26828) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2024-03-07 |