| NPI | 1679567127 |
|---|---|
| Former Name | KEVIN MILLER |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 04-22358) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G87808) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2010-10-04 |