| NPI | 1497701866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MA 58565) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 272983) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 58565) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ME 015833) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: RI MD11056) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: ME 015833) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: RI MD11056) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-05-22 |