NPI | 1346312436 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0057537) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME0057537) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2022-10-17 |