NPI | 1811955420 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME94818) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60242430) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2019-09-24 |