| NPI | 1588643233 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: PA OS004392L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS004392L) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-03-08 |