NPI | 1497754493 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO R9E95) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO R9E95) |
Enumeration Date | 2005-07-20 |
Last Update Date | 2016-11-22 |