NPI | 1114930898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME90673) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME90673) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PR 13502) | |
Enumeration Date | 2006-08-14 |
Last Update Date | 2022-07-21 |