| NPI | 1689891673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: PA MD467267) |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: MT 53048) |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: CT 045287) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-10-19 |