NPI | 1548236177 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD015402E) |
Additional Taxonomies | 174400000X Specialist (Licence: PA MD015402E) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2008-06-12 |