NPI | 1740352806 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME100299) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 001788) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2011-05-17 |