| NPI | 1164469797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MA 44412) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NY 273323) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: ME 015616) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MA 44412) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: ME 015616) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2018-04-09 |