| NPI | 1841272515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2011-0223) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 35719) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 35719) | |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2015-02-04 |