| NPI | 1407827447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: HI 13626) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD469961) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2022-06-07 |