| NPI | 1932125242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 109051) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 13208172-1205) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 109051) | |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IL 036092040) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2025-03-04 |