| NPI | 1639250004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0061895) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 37198) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-02-25 |