| NPI | 1588954853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 29696) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD484340) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2024-04-09 |