| NPI | 1457337453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-35431) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 50037) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2022-08-19 |