NPI | 1326030016 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 22654) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 022654) |
Enumeration Date | 2005-08-18 |
Last Update Date | 2021-06-17 |