| NPI | 1114114584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IA 38404) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6360381-1205) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: IA 38404) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A119897) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2014-03-10 |