| NPI | 1497989305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: PA MD490154) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D76370) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD490154) | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2025-07-07 |