| NPI | 1558436402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101047160) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD040156) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D72572) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-11-04 |