| NPI | 1922012830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 169526-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 1695261205) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2026-06-24 |