NPI | 1538367040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NE 25539) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 5675) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2014-08-29 |