| NPI | 1851593289 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101248637) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0066652) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2024-03-11 |