| NPI | 1225170624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MA 231397) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 217837) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2011-07-29 |