NPI | 1124024500 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0017174) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME91824) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2010-05-18 |