| NPI | 1922048123 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-36728) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 40654) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 40654) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2022-02-28 |