NPI | 1417129792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 262587) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD443654) |
Enumeration Date | 2008-03-27 |
Last Update Date | 2013-09-20 |