NPI | 1841299625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL ME30838) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL 30838) |
Enumeration Date | 2005-07-14 |
Last Update Date | 2025-03-29 |