| NPI | 1821049727 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2012-0806) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 37784) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 36091802) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2019-09-26 |