NPI | 1588954853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NE 29696) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: PA MD484340) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2024-04-09 |