NPI | 1932132511 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: GA 95138) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 34007125) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 5101012356) | |
Enumeration Date | 2006-07-08 |
Last Update Date | 2023-07-21 |