NPI | 1609834068 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 8893) |
Additional Taxonomies | 208600000X Surgery (Licence: SC 8893) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2009-12-30 |