| NPI | 1376718767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101253819) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 135132) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2019-03-19 |