| NPI | 1922081934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MD H0067747) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: HI 1072) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2024-05-01 |