NPI | 1275586992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A85480) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A85480) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2012-10-23 |