| NPI | 1063527588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX P2240) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 48617) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2012-07-31 |