NPI | 1952561938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MO 2015013283) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2015013283) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2019-05-08 |