| NPI | 1518127513 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD443890) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA FA2789519) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2022-11-08 |