| NPI | 1770748204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 257551) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 59925) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: FL ME148350) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CT 67357) | |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2021-02-27 |