NPI | 1780973305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D80259) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258139) |
207V00000X Obstetrics & Gynecology (Licence: OK 28572) | |
Enumeration Date | 2011-04-04 |
Last Update Date | 2018-06-11 |