| NPI | 1053464842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D68386) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101034665) |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD15297) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2023-03-07 |