| NPI | 1417117201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101246339) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0067614) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2019-09-14 |