| NPI | 1447244272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-42997) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 01057125) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-10-29 |