| NPI | 1972897825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A137504) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A137504) |
| 208600000X Surgery (Licence: CA A137504) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2019-02-12 |