| NPI | 1467463018 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D82424) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 205070) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-03-29 |