| NPI | 1528357399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 6981) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0079410) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2025-04-01 |