| NPI | 1720049430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D65014) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101247654) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-08-4046-H) | |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD036375) | |
| 207V00000X Obstetrics & Gynecology (Licence: NC 200200235) | |
| 207V00000X Obstetrics & Gynecology (Licence: TN MD31991) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-11-23 |