NPI | 1083927131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CO DR.0058077) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 166163) |
Enumeration Date | 2010-07-19 |
Last Update Date | 2022-07-21 |