| NPI | 1104963685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D62455) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD034240) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-11-22 |