NPI | 1932335890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 51259) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 51082) |
Enumeration Date | 2009-06-05 |
Last Update Date | 2022-08-15 |