| NPI | 1043334808 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD H0053123) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD H0053123) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-04-28 |