| NPI | 1912249004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D92591) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A133994) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-10-10 |