| NPI | 1396030839 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WA MD.MD.60859659) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP1-0040935) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101258841) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-06-28 |