NPI | 1619050937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME72733) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME72733) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME72733) | |
Enumeration Date | 2006-10-23 |
Last Update Date | 2023-06-23 |