NPI | 1154413805 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL OS4039) |
Additional Taxonomies | 208600000X Surgery (Licence: FL OS 4039) |
Enumeration Date | 2006-09-29 |
Last Update Date | 2008-01-30 |