NPI | 1548349566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME60180) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME0060180) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2023-02-06 |