| NPI | 1356306187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D73201) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101232298) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2023-12-05 |