| NPI | 1497838379 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MT 8708) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 8708) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-09-22 |