NPI | 1477003044 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: CA A145371) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A145371) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2022-11-15 |