| NPI | 1952835829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD049351) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0091762) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101272491) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2024-08-20 |