NPI | 1033304415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: MO 2009004523) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2009004523) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2024-04-25 |