NPI | 1275594160 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2012-0684) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G022668) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2012-09-16 |