NPI | 1205916202 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00015732) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00015732) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2012-01-28 |