NPI | 1457334542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IA MD-53234) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA MD-53234) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CT 42315) | |
Enumeration Date | 2005-11-22 |
Last Update Date | 2024-08-15 |