| NPI | 1962457663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 7259) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MT 7259) |
| 174400000X Specialist (Licence: MT 7259) | |
| 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: MT 7259) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2025-11-14 |