NPI | 1184990178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME140220) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 61546) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: TN MD54321) | |
Enumeration Date | 2012-03-24 |
Last Update Date | 2023-07-19 |