NPI | 1033163373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM 86-003) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 86-003) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2012-02-08 |