| NPI | 1922098938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: WV 22730) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: VA 0101034798) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: TN 17920) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2022-04-11 |