| NPI | 1235334103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D78030) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD449107) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-11-06 |