NPI | 1477558724 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 22616) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01845) |
Enumeration Date | 2005-06-14 |
Last Update Date | 2023-03-08 |