| NPI | 1710962881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D-20513) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0020513) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2022-01-24 |