| NPI | 1740371236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 41171) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0014263) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-03-14 |