NPI | 1427300938 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 10714148-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A123000) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: WY 12554A) | |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NM MD2014-1005) | |
Enumeration Date | 2012-10-08 |
Last Update Date | 2021-10-28 |