NPI | 1922059377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 28438) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD030628E) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2019-10-08 |