NPI | 1194724336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 10770R) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.10770R) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2010-03-03 |