| NPI | 1831208420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD421954) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD421954) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-10-11 |