| NPI | 1053314757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0034506) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology Critical Care Medicine (Licence: MD D0034506) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-07-02 |