NPI | 1699798900 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VT 042-0010320) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: VT 042-0010320) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: VT 042-0010320) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2007-07-08 |