| NPI | 1548395866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D15678) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD9962) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |