| NPI | 1811934557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MA 157527) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MA 157527) |
| 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: RI MD10797) | |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: RI MD10797) | |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-10-10 |