NPI | 1215972377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A102101) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301087947) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2015-02-17 |