NPI | 1013958370 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 35276) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: CO DR.0035276) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2021-06-22 |