| NPI | 1437140332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 22345) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD048704L) |
| 207V00000X Obstetrics & Gynecology (Licence: NY 195056) | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-12 |