| NPI | 1902864937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0063471) |
| Additional Taxonomies | 207VC0200X Obstetrics & Gynecology, Critical Care Medicine (Licence: MD D0063471) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-11-23 |