| NPI | 1811056344 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD476160) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI MD-12037) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-09-07 |