| NPI | 1609842954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101-053475) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101-053475) |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2011-08-12 |