NPI | 1568582443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301094425) |
Additional Taxonomies | 282NW0100X General Acute Care Hospital Women |
Enumeration Date | 2007-04-02 |
Last Update Date | 2022-07-21 |