| NPI | 1437332269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D95737) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME 119131) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101242363) | |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD 040908) | |
| 207V00000X Obstetrics & Gynecology (Licence: DE C1-0010197) | |
| Enumeration Date | 2007-12-15 |
| Last Update Date | 2023-09-13 |