| NPI | 1851316855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0007101) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: VT 042-0007101) |
| 207VG0400X Obstetrics & Gynecology Gynecology (Licence: VT 042-0007101) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |