NPI | 1457339368 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 25442) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MN 25442) |
Enumeration Date | 2006-01-03 |
Last Update Date | 2018-04-25 |