| NPI | 1922021989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A87746) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A87746) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2020-01-31 |