NPI | 1184839854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2013-0700) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 22538) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2015-08-10 |