| NPI | 1821093691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MS 26629) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D36589) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2019-04-03 |