NPI | 1083601199 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 69678) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TN 37015) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2023-02-01 |