NPI | 1427012830 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WV 16947) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WV 16947) |
Enumeration Date | 2006-04-13 |
Last Update Date | 2017-01-03 |