| NPI | 1952627572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: PA OS020257) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC DO034485) |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MD H0088081) | |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2022-02-18 |