NPI | 1689671331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 54529) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IA 02734) |
207V00000X Obstetrics & Gynecology (Licence: SD 3890) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2010-06-08 |