NPI | 1053336487 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD15481) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 67566) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2024-06-13 |