| NPI | 1639224629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA C37422) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX E2705) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 7083173-1205) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2011-04-27 |