NPI | 1184758237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 54861-21) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK O-8258) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2015-03-10 |