| NPI | 1295909174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OH 35.122055) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD440660) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35.122055) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2021-09-08 |