NPI | 1780983528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: AZ 69062) |
Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA 125618) |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MN 64179) | |
Enumeration Date | 2011-03-18 |
Last Update Date | 2023-12-13 |