NPI | 1427063932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OR MD25314) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00048210) |
207V00000X Obstetrics & Gynecology (Licence: OR MD25314) | |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WA MD00048210) | |
Enumeration Date | 2006-07-31 |
Last Update Date | 2021-10-31 |