NPI | 1407866296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 179108) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: PA MD052441L) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: TN MD59651) | |
Enumeration Date | 2006-08-08 |
Last Update Date | 2024-10-03 |