| NPI | 1164405130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MA 59457) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 59457) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-08-25 |