NPI | 1588023162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 30278) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NE 30278) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NE 30278) | |
Enumeration Date | 2016-02-11 |
Last Update Date | 2023-11-24 |