| NPI | 1245525088 |
|---|---|
| Professional Name | GERALD BENJAMIN DOERSAM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A49166) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: ZZ 08271) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |