NPI | 1922113638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD07825) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00014396) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2007-07-11 |