NPI | 1437181922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A47906) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A47906) |
208000000X Pediatrics (Licence: CA A47906) | |
Enumeration Date | 2006-07-07 |
Last Update Date | 2021-04-14 |