NPI | 1417927534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A36569) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A39569) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A39569) | |
207R00000X Internal Medicine (Licence: CA A39569) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2023-03-07 |