| NPI | 1437156064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301089357) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 228734-1) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301089357) | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-03-21 |