NPI | 1295030096 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A49872) |
Additional Taxonomies | 208600000X Surgery (Licence: CA A49872) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-01-26 |