NPI | 1861422461 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0037467) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME0037467) |
Enumeration Date | 2006-07-03 |
Last Update Date | 2013-02-01 |