| NPI | 1700947256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: DC 11875) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: DC 11875) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-10 |