| NPI | 1205367729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A159078) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A159078) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2026-01-13 |