| NPI | 1053415281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: CA A44647) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: KS 04-32372) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: KS 04-32372) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2019-09-18 |