| NPI | 1760564629 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A35247) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NV 6868) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A35247) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 243900) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2014-07-23 |