NPI | 1215106216 |
---|---|
Other Name | BRAYAN STUART |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME124222) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 276910) |
207V00000X Obstetrics & Gynecology (Licence: PR 18008) | |
Enumeration Date | 2008-02-22 |
Last Update Date | 2020-05-06 |