NPI | 1467747386 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 54439) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY R2724) |
207V00000X Obstetrics & Gynecology (Licence: KY TP097) | |
Enumeration Date | 2011-06-20 |
Last Update Date | 2021-04-30 |