| NPI | 1780636852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD217242) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI JJ038706) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-12-15 |