NPI | 1558598771 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 30784) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA 305351) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2024-09-12 |