| NPI | 1861954844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD H97588) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA OS026058) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2026-09-15 |