NPI | 1912015140 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 057237) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 00027280) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2007-07-08 |