| NPI | 1861464604 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD455686) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN MD39541) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2018-11-28 |