| NPI | 1154375038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MA 54954) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: RI MD10619) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NH 10741) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 54954) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: RI MD10619) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NH 10741) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2017-01-27 |