NPI | 1962408591 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 23697) |
Additional Taxonomies | 174400000X Specialist (Licence: NC 23697) |
Enumeration Date | 2005-06-28 |
Last Update Date | 2022-04-12 |