| NPI | 1457916413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 76541) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OK 34771) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2024-06-25 |