| NPI | 1235440520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NY 287781) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT198009) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2017-07-31 |