NPI | 1972508133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: KY 17396) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: DC MD21040) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: IN 01035329A) | |
Enumeration Date | 2005-06-15 |
Last Update Date | 2012-10-24 |