| NPI | 1538188420 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MA 285275) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 285275) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 228573) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-12-22 |