| NPI | 1568576205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MS 20076) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD024974E) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-11-23 |