| NPI | 1922758879 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD488328) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD488328) | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-06-22 |