| NPI | 1508859646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME66312) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: GA 049446) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: AL 00023365) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2008-03-31 |