| NPI | 1073609749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A49312) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A49312) |
| 208600000X Surgery (Licence: CA A49312) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-12-01 |