| NPI | 1134333412 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD450257) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT188429) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-04-11 |