| NPI | 1356501340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-41817) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD433096) |
| 207V00000X Obstetrics & Gynecology (Licence: MS 20151) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-09-03 |