NPI | 1588681571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: ND 15182) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MN 45659) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME105780) | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2022-07-06 |