| NPI | 1740349240 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: SC 29794) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NC 94-00609 cer#56616) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-07-23 |