| NPI | 1922248400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61258157) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA08498700) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME103614) | |
| 207V00000X Obstetrics & Gynecology (Licence: NV 13150) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036137155) | |
| 207V00000X Obstetrics & Gynecology (Licence: SD 16810) | |
| 207V00000X Obstetrics & Gynecology (Licence: AZ 77316) | |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2025-07-02 |