| NPI | 1275899403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C20023860) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS018063) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2024-03-21 |