| NPI | 1780846287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: IA 39096) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101241906) |
| 207V00000X Obstetrics & Gynecology (Licence: IA 39096) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2010-08-06 |