| NPI | 1184757080 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: CA A121028) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 47833) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A121028) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-11-04 |