NPI | 1821188426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: MI 4301078230) |
Additional Taxonomies | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: UT 5894905-1205) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2017-03-29 |