NPI | 1134151772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 202K00000X (Licence: PA md020555e) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD020555E) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2008-05-22 |