NPI | 1750301743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 233343) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD7686) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-04-23 |