| NPI | 1952478935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 37589) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA p91365) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2023-11-21 |