| NPI | 1639533284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101277429) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D88792) |
| Enumeration Date | 2016-04-10 |
| Last Update Date | 2025-04-08 |