NPI | 1487181962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME147490) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN24520) |
Enumeration Date | 2017-05-16 |
Last Update Date | 2021-06-02 |