| NPI | 1205935202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101042502) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA MD034456E) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD034456E) | |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0101042502) | |
| 174400000X Specialist (Licence: VA 0101042502) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2026-03-30 |