NPI | 1801200985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 13442637-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME139815) |
207V00000X Obstetrics & Gynecology (Licence: IN 01087486A) | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2023-07-13 |