| NPI | 1184006348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 38535) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD-48852) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2024-10-08 |