| NPI | 1568523082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD31512) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D34559) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-07-25 |