NPI | 1578583092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 79134) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GU M-1736) |
207V00000X Obstetrics & Gynecology (Licence: CA A94599) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2024-02-08 |