NPI | 1194802991 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA C151485) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 5039763-1205) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2018-03-17 |