| NPI | 1093734956 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO R1P98)  | 
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MO R1P98)  | 
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MO R1P98)  | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MO R1P98)  | |
| Enumeration Date | 2006-07-19 | 
| Last Update Date | 2021-01-12 |