NPI | 1225353055 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WI 56561-20) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 56561) |
Enumeration Date | 2010-04-05 |
Last Update Date | 2024-02-01 |