NPI | 1265503148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA G71815) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G71815) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2023-11-27 |