NPI | 1932558129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR MD203114) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MT 88379) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2021-03-12 |