NPI | 1851471767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 62865-21) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 266771-1204) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2014-09-16 |