NPI | 1639134422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI MD19726) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 37813) |
207V00000X Obstetrics & Gynecology (Licence: TN 71497) | |
207V00000X Obstetrics & Gynecology (Licence: VA 0101280344) | |
Enumeration Date | 2006-04-18 |
Last Update Date | 2025-05-30 |