| NPI | 1174563332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-31157) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 116496935-1205) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-08-24 |