| NPI | 1417572918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-53245) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 8764) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2024-08-30 |