| NPI | 1376520593 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD050588L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA 050588L) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-10-21 |