NPI | 1427023530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 87037) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME76754) |
Enumeration Date | 2006-02-22 |
Last Update Date | 2022-04-27 |