| NPI | 1881720225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D75359) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 12264) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2025-07-30 |