| NPI | 1669414488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: PA MD051800L) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-01-25 |