NPI | 1154409316 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OR 07945) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 07945) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2008-03-04 |