NPI | 1972512408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0040683) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD20163) |
Enumeration Date | 2006-08-05 |
Last Update Date | 2017-04-04 |