| NPI | 1134255052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A91127) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA a91127) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 245878) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-11-04 |