| 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 |