| NPI | 1437307790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2014013356) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS015475) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2018-02-27 |