NPI | 1205878113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AR E2520) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.200550) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2011-11-29 |