NPI | 1467422493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101261376) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD045405L) |
Enumeration Date | 2006-01-24 |
Last Update Date | 2021-08-02 |