NPI | 1316949241 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A83399) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101056183) |
207V00000X Obstetrics & Gynecology (Licence: UT 6311045-1205) | |
Enumeration Date | 2005-08-11 |
Last Update Date | 2007-07-08 |