| NPI | 1417953225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD 028781E) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35078603) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2010-08-10 |