| NPI | 1235195801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TN 46854) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NV 12519) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 12519) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN 46854) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2014-01-07 |