NPI | 1659318392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: RI Md9135) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 156881) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2020-07-09 |