| NPI | 1952832180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0091221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 271640) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D91221) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-11-02 |