NPI | 1588747026 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: VA 0101240548) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: VA 0101240548) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2016-09-30 |