NPI | 1851304331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00016970) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD10482) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-07-16 |