NPI | 1184696288 |
---|---|
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 44331) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO R3H94) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2014-11-25 |