| NPI | 1053336487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD15481) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 67566) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2024-12-17 |