NPI | 1669678421 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: SC 29771) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: SC 29771) |
Enumeration Date | 2007-06-26 |
Last Update Date | 2021-05-26 |