NPI | 1710074182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME120472) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME120472) |
174400000X Specialist (Licence: TN MD31626) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2023-01-25 |