NPI | 1346277159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: CA A46581) |
Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A46581) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2019-11-23 |