| NPI | 1528155579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WI 86308-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 86308-20) |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD22507) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OR MD22507) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2025-09-16 |