NPI | 1366475568 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine (Licence: KY 38316) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY 38316) |
207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: KY 38316) | |
Enumeration Date | 2006-07-09 |
Last Update Date | 2025-01-07 |