| NPI | 1992156830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CO DR.0070770) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301110034) |
| 207V00000X Obstetrics & Gynecology (Licence: CO DR.0070770) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2024-05-07 |