NPI | 1548395866 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D15678) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD9962) |
Enumeration Date | 2007-02-23 |
Last Update Date | 2007-07-08 |