| NPI | 1184619215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME14182) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: LA MD.010074) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 18237) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2010-02-12 |