| NPI | 1013919570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD 052559L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD052559L) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2014-07-10 |