| NPI | 1497781991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD421395) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101274035) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-06-25 |