NPI | 1629048780 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 045529) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IN 01058280A) |
Enumeration Date | 2006-01-23 |
Last Update Date | 2007-10-11 |