| NPI | 1760845176 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101269078) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD048130) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2025-08-22 |