NPI | 1376611202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS19504) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102201236) |
207V00000X Obstetrics & Gynecology (Licence: NC 200201048) | |
207VX0000X Obstetrics & Gynecology Obstetrics (Licence: FL OS19504) | |
Enumeration Date | 2006-11-30 |
Last Update Date | 2024-06-13 |