NPI | 1114212677 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-14987) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 137748) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2020-02-03 |