NPI | 1275160384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2023041281) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5151014316) |
Enumeration Date | 2020-03-26 |
Last Update Date | 2024-05-09 |