NPI | 1699798504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: SC 29173) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2010-01153) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2023-01-05 |