| NPI | 1487628707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD11803) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0023702) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101031373) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2008-12-17 |