| NPI | 1710371232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD047219) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0087185) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101266631) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-08-21 |