NPI | 1134271380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C39280) |
Additional Taxonomies | 174400000X Specialist (Licence: CA C39280) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2008-03-05 |