NPI | 1407904303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM 82-132) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA C42541) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2013-09-01 |