| NPI | 1083688410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD16605) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101235607) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: DC MD16605) | |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: VA 0101235607) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |