| NPI | 1013153782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NY 172112) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MA 72477) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NJ MA58079) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2009-10-30 |