| NPI | 1477509263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 29614) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 23592) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: SC 23592) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2019-01-30 |