| NPI | 1346620911 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD468360) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA FT8648214) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-09-09 |