| NPI | 1972508133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: KY 17396) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: DC MD21040) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: IN 01035329A) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2012-10-24 |