| NPI | 1144214339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WI 71612) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 27480) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: IA 27480) | |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-12-02 |