NPI | 1770672180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 56746) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 219965) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-11-03 |