NPI | 1356412399 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0064882) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A81943) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2021-05-20 |