| NPI | 1609850239 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD045330L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD045330L) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-01-24 |