NPI | 1841394285 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.021082) |
Additional Taxonomies | 174400000X Specialist (Licence: LA 021082) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2013-04-10 |