NPI | 1255319828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 85640) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 200200772) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2025-01-22 |