| NPI | 1205254174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD046205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D85528) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101269802) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2020-08-10 |