| NPI | 1962535997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: WI 62613) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 62613) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2021-01-12 |