NPI | 1609226950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-15245) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT210943) |
Enumeration Date | 2016-06-17 |
Last Update Date | 2022-12-18 |