NPI | 1083025258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME167604) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD193284) |
207V00000X Obstetrics & Gynecology (Licence: CO CDR.0002547) | |
207V00000X Obstetrics & Gynecology (Licence: WA MD60912451) | |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: AZ 62045) | |
Enumeration Date | 2014-05-09 |
Last Update Date | 2024-09-24 |