NPI | 1174985931 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 56906) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: FL ME144031) |
Enumeration Date | 2016-03-22 |
Last Update Date | 2022-07-11 |