| NPI | 1962508218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA MD-46693) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2023041280) |
| 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35068823) | |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2023-11-03 |