| NPI | 1578754388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD d91020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ND 10721) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2021-07-27 |