NPI | 1417951310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 20A44620) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA 20A44620) |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA 20A44620) | |
Enumeration Date | 2005-06-08 |
Last Update Date | 2012-02-24 |