| NPI | 1720068133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD21559) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0052934) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2025-03-21 |