| NPI | 1447227020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0033678) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 4664) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2011-03-09 |