| NPI | 1366494676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WI 30771) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD046113L) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-08-19 |