| NPI | 1255356309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NH 12814) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: NH 12814) |
| 207V00000X Obstetrics & Gynecology (Licence: NH 12814) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2011-07-20 |