| NPI | 1184697237 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD17476) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0037161) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101040120) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2009-08-20 |