NPI | 1396867065 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AZ 14236) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA G52172) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-08 |