NPI | 1417217779 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ID M-15084) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A128236) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2021-06-09 |