| NPI | 1730123910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: KY 20238) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: KY 20238) |
| 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: KY 20238) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-04-17 |