NPI | 1073562203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA G31595) |
Additional Taxonomies | 174400000X Specialist (Licence: CA G31595) |
Enumeration Date | 2006-05-06 |
Last Update Date | 2024-01-09 |