| NPI | 1861408155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD025289E) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA M2025288E) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-03-21 |