| NPI | 1750311015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD047612L) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WV 29213) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD047612L) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2025-05-09 |