| NPI | 1598175382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-02775) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL MD.34856) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2020-10-26 |