NPI | 1700084548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 82360) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090889) |
Enumeration Date | 2007-07-03 |
Last Update Date | 2022-01-07 |