| NPI | 1619167194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA MD-43441) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036.128396) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2020-03-03 |