| NPI | 1851387484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD21544) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR MD21544) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2022-09-29 |