NPI | 1053653204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301103530) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 127814) |
Enumeration Date | 2013-03-25 |
Last Update Date | 2025-08-18 |