NPI | 1205844420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OK 15169) |
Additional Taxonomies | 174400000X Specialist (Licence: OK 15169) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2022-06-14 |