| NPI | 1609037555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD047048) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101247277) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0080762) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2023-07-06 |