NPI | 1801847736 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D0055137) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 306640) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2020-08-26 |