| NPI | 1225192628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0054825) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD31622) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101046887) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-06-01 |