| NPI | 1205801743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC MD39554) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0063570) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2016-10-18 |