| NPI | 1346212685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2023-1027) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101229045) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2024-06-08 |