| NPI | 1033382049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A116519) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60680871) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101265847) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MD D0066846) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX N0491) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2018-11-27 |