| NPI | 1467431858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD043615L) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD043615L) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2020-08-10 |