| NPI | 1578566287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0021393) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: MD D0021393) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2011-05-17 |