| NPI | 1952665168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD459355) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME131535) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME131535) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME131535) | |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-07-30 |