| NPI | 1821402793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: AZ 62535) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT207518) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2022-07-06 |