| NPI | 1346416484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC MD039673) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D72484) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2019-07-30 |