NPI | 1235367038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL MD.35071) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME116795) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2018-05-16 |