NPI | 1831123876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA MD.015750) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.015750) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-10-30 |