NPI | 1386173144 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A172157) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 272222) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2021-07-22 |