| NPI | 1902066715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0078068) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT190093) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD 437817) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA08944800) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2021-08-04 |