NPI | 1952303919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MT 74443) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI RP407341) |
207V00000X Obstetrics & Gynecology (Licence: PA MD463673) | |
Enumeration Date | 2005-06-02 |
Last Update Date | 2023-11-09 |