NPI | 1801862040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME105113) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PR 8518) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2018-03-17 |