NPI | 1851399224 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME28711) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME0028711) |
207V00000X Obstetrics & Gynecology (Licence: FL ME002811) | |
Enumeration Date | 2005-07-11 |
Last Update Date | 2022-11-01 |