| NPI | 1710951413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35-095259) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD417877) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD417877) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-08-23 |