NPI | 1568445369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 34173) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: CO 34173) |
Enumeration Date | 2005-11-25 |
Last Update Date | 2023-06-02 |