NPI | 1528139342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101044102) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 7491791-1205) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2011-11-14 |