| NPI | 1720461213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME156802) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101268224) |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0116028515) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VA 0101268224) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2023-05-16 |