| NPI | 1528053667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME47242) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 165085-1205) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 27121) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2012-03-07 |