| NPI | 1093789596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00036733) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR 16555) |
| 207V00000X Obstetrics & Gynecology (Licence: CA G 51001) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO MD R2K47) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 003-036-073559-01) | |
| 207V00000X Obstetrics & Gynecology (Licence: WI 43099-020) | |
| 207V00000X Obstetrics & Gynecology (Licence: MT 8679) | |
| 207V00000X Obstetrics & Gynecology (Licence: GU M-895) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |