NPI | 1144584764 |
---|---|
Former Name | TERRENCE J CARTER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME 127743) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 95740) |
207V00000X Obstetrics & Gynecology (Licence: IL 125.061683) | |
Enumeration Date | 2012-06-28 |
Last Update Date | 2023-12-19 |