| NPI | 1710133046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: SD 15439) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 56843) |
| 207V00000X Obstetrics & Gynecology (Licence: NC 2016-02321) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 2016-02321) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2025-10-23 |