NPI | 1477807691 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV DO2683) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 267500) |
Enumeration Date | 2012-11-09 |
Last Update Date | 2022-09-13 |