NPI | 1831179894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 78322) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: RI MD08974) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2024-07-01 |