| NPI | 1336361070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: CA 20A17464) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 20A17464) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: OR DO179942) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-06-11 |