| NPI | 1790734366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NV 7698) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: ID M-7577) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA g72373) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 6333431-1205) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-05-06 |