| NPI | 1619924594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL MD31286) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD426200) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-09-24 |