NPI | 1700889763 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 11790) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ME MD24521) |
207V00000X Obstetrics & Gynecology (Licence: ME EL211024) | |
207V00000X Obstetrics & Gynecology (Licence: RI MD17443) | |
Enumeration Date | 2005-05-24 |
Last Update Date | 2021-04-29 |