NPI | 1639161169 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D33079) |
Additional Taxonomies | 174400000X Specialist (Licence: MD D0033079) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2018-10-10 |