NPI | 1366709990 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME127866) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME127866) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2024-07-12 |