NPI | 1306815998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 56836) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NH 7659) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2018-04-19 |