NPI | 1558595843 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: OH 35.139580) |
Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: VT 042-0012624) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2020-12-21 |