| NPI | 1124190681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101053865) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD039290) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0045479) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-03-25 |