NPI | 1215172937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A110265) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA 000000) |
Enumeration Date | 2008-12-09 |
Last Update Date | 2023-06-29 |