| NPI | 1629593348 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD60003197) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101268208) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2025-01-02 |