NPI | 1285746404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: FL ACN201) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ACN201) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2025-04-15 |