| NPI | 1588629380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0041260) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD18798) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-10-22 |