| NPI | 1639157738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX M1047) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 21214) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WV 21214) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2015-10-08 |