NPI | 1356548168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME DO2524) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 670) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2019-03-19 |