| NPI | 1386620193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101059145) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 306384) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: DC MD19709) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2021-11-23 |