NPI | 1285600726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 23221) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AK 7018) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2019-04-19 |