| NPI | 1477528966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD038268) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD423665) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0069810) | |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2016-11-21 |