| NPI | 1497723936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD021011E) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD021011E) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-02-03 |