NPI | 1457411670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PA md034805e) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD034805E) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2008-05-04 |