NPI | 1114992526 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9601420) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 18906) |
Enumeration Date | 2006-02-20 |
Last Update Date | 2019-06-14 |