| NPI | 1508044165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D78228) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2018-01060) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MT185486) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD432588) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME104151) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2021-03-09 |