NPI | 1538120100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine (Licence: AZ 37654) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 37654) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2014-06-25 |