| NPI | 1629156955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD034494) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0056536) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-10-29 |