| NPI | 1952496853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AL L3231SP) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 036464) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-02-16 |