| NPI | 1073955290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A147673) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A147673) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301103272) | |
| 207V00000X Obstetrics & Gynecology (Licence: MD D91384) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2023-05-03 |