| NPI | 1841351772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0031567) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC MD17281) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-02-14 |