NPI | 1700855962 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: LA MD021377) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD021377) |
Enumeration Date | 2006-03-17 |
Last Update Date | 2008-05-01 |