NPI | 1225171986 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD20113) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G65944) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00035706) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2024-04-12 |