| NPI | 1982725396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NM MD2011-0254) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM PENDING- 1ST YR RES) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2023-07-11 |