| NPI | 1144506643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A150023) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 260054) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MA 260054) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2021-12-17 |