| NPI | 1790843068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101039571) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D33064) |
| 207V00000X Obstetrics & Gynecology (Licence: DC MD30204) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-11-28 |