| NPI | 1033317631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0011677) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD431049) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2025-04-02 |