NPI | 1598723389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NV 1057) |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NV 1057) |
Enumeration Date | 2006-05-02 |
Last Update Date | 2024-08-21 |