| NPI | 1861478034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA OS002949L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS002949L) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2013-11-08 |