| NPI | 1346376787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0066225) |
| Additional Taxonomies | 282NW0100X General Acute Care Hospital, Women |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-09-06 |