| NPI | 1992726699 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: MA 55388) |
| Additional Taxonomies | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology (Licence: NY 217748) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 55388) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-10-27 |