| NPI | 1922035690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KS 04-38611) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: NY 209845) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MO 2015041854) | |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2016-03-30 |