| NPI | 1861407744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC MD9583) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC md9583) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC 9583) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2023-11-29 |