NPI | 1053310003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: FL 43528) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME43528) |
207VH0002X Obstetrics & Gynecology, Hospice and Palliative Medicine (Licence: FL ME43528) | |
Enumeration Date | 2005-07-20 |
Last Update Date | 2020-02-14 |