| NPI | 1902037179 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD449723) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DE C1-0010723) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2021-09-07 |